Vaginal and Pelvic Surgeons
ExpiredCalifornia license 550590
License
- Licensed by
- Medical Board of California
- License number
- 550590
- Status
- Expired (Delinquent)
- First issued
- November 25, 2019
- Expired
- November 30, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1130 E Clark Ave Ste 150-152
Santa Maria, CA 93455-5178
Santa Maria, CA 93455-5178
Santa Barbara County